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This is VAERS ID 284559

Case Details

VAERS ID: 284559 (history)  
Form: Version 1.0  
Age: 19.0  
Gender: Female  
Location: Missouri  
Vaccinated:0000-00-00
Onset:2007-05-30
Submitted: 2007-06-14
   Days after onset:15
Entered: 2007-06-18
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Injection site pain, Pain in extremity
SMQs:, Extravasation events (injections, infusions and implants) (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0706USA00046

Write-up: Information has been received from a physician concerning a 19 year old female patient who was vaccinated in the arm with a first dose of Gardasil. Subsequently the day after, the injection complained of significant pain in the arm at the injection site and in her upper arm toward her shoulder. The soreness in her arm lasted for one week and then dissipated. However, subsequently the soreness returned and as 30-MAY-2007 the patient was still experiencing pain and soreness. Unspecified medical attention was sought. At the time of this report, the patient had not recovered. No product quality complaint was involved. Additional information has been requested.


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